Individual provider · Type 1 NPI

Kenneth Earl Williams I, P.A.

Surgical Physician Assistant · Albuquerque, NM

NPI number 1477664944 Active

Practice location

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153

Call (505) 256-5746 Map

Fax (505) 256-5772

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X80-PA018 (NM)

Surgical Physician Assistant: Definition to come...

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About NPI 1477664944

Kenneth Earl Williams I, P.A.'s National Provider Identifier is 1477664944, issued on Aug 31, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.